Individual
PRERNA MALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-6435
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD043815
DC
Other
Enumeration date
06/21/2010
Last updated
06/21/2017
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